This programme has demonstrated the effectiveness of well-developed online behavioural interventions to support self-management of skin conditions. Future research could develop and evaluate similar resources to target the needs of people with other chronic skin conditions, particularly those that require complex treatment regimens and lifestyle support.
Implementation research into the best ways of sustaining and delivering the intervention in different settings, including GP, community pharmacy and through charities, will also be important.
Our systematic reviews of the best and safest ways of using TCS highlighted the paucity of evidence to inform usual practice, with many evidence gaps, including:
- How long should TCS be used for an eczema flare-up?
- How long to leave between the application of TCS and emollients?
- What is the safety of TCS use beyond 12 months?
- What is topical steroid withdrawal and how can it be avoided?
Future research may enhance research participation by engaging with under-represented groups and considering their needs from the outset.